Organization
MIDWEST OPEN MRI OF ILLINOIS LTD
Active
Other names
western open mri
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFIA S SALEEM M. D (PRESIDENT)
(708) 788-8900
Entity
Organization
Contact information
Practice address
7049 CERMAK RD, BERWYN, IL 60402-2137
(708) 788-8900
(708) 788-5110
Mailing address
7049 CERMAK RD, BERWYN, IL 60402-2137
(708) 788-8900
(708) 788-5110
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036043669
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036043669
—
IL
Enumeration date
05/13/2010
Last updated
06/13/2012
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